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General NPI Number Information
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NPI Number | 1871574731
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Entity Type | Organization
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Legal Business Name | ST. JOSEPH HOSPITAL AND MEDICAL CENTER
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 21 MARKET ST
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City | PATERSON
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State | NJ
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Zip | 07501-1723
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Country | US
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Telephone | 973-754-4250
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Fax | 973-754-4259
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Provider Business Mailing Address
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Address Line | 21 MARKET ST
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City | PATERSON
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State | NJ
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Zip | 07501-1723
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Country | US
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Telephone | 973-754-4250
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Fax | 973-754-4259
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIONNE C. PIERCE
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Credential |
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Telephone | 973-754-4250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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